The gingiva is a type of Masticatory mucosa. Gingiva is the soft tissue around the teeth which is continous with the Mucosa of the Oral cavity, this junction is called the mucogingival junction.
What does gingiva mean?
gingiva noun. The gum, consisting of the tissue surrounding the roots of the teeth and covering the jawbone. Etymology: From gingiva
What are the causes of gingival hyperplasia?
Systemic causes of gingival hyperplasia may include:
- Pregnancy and other hormonal fluctuations
- Leukemia
- Other chronic health conditions
How do you use gingival margin Trimmer?
How do you use gingival margin trimmer? One gingival margin trimmer is used in the distal box of a class II preparation to plane the cavo surface margin and one is used in the mesial box. To plane the gingival cavo surface margin, place the instrument in the center and move it from the bevel side to non-bevel side.
What is unattached gingiva?
The practice consists of four principal areas which include the following:
- Gingiva
- Periodontal Ligament (PDL)
- Cementum
- Alveolar Bone Proper
What is gingivitis in teeth?
What is the objective of gingivitis?
Where is subepithelial connective tissue harvested?
Can periodontal ligaments grow?
Does tissue regenerate in the color desired?
Can perioesthetics regenerate enamel?
Is gingival tissue regeneration the same as repair?
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Is gingiva hard or soft tissue?
The gums are included in the soft tissue which lines the mouth. The gingiva surrounds the teeth and act as a seal surrounding them. They differ from the soft tissue linings of the lips and cheeks, as most of the gums are tightly bound to the underlying bone.
What type of tissue is gingiva?
The gingiva is part of the masticatory mucosa that provides an internal defense mechanism against pathogens and mechanical stress. It is composed of a dense, vascular fibrous tissue with a keratinized stratified squamous epithelium.
Is gingiva a hard tissue?
The gingival tissues (or gingiva, frequently called gums in laypersons' terms) are the soft tissues that cover the alveolar bone of the jaws and the teeth up to the exposed crown of the teeth.
What is soft tissue in dental?
The tongue, cheeks, gum, and lips are the soft tissues in the mouth. Each area is sensitive and contains a large number of blood vessels; hence whenever they are injured they bleed easily and profusely.
What is gingiva?
(JIN-jih-vuh) The tissue of the upper and lower jaws that surrounds the base of the teeth. Also called gums.
Is gingiva a muscle?
The attached gingiva is immovable and tough, and deflects food as it hits the gum. Below the attached gingiva is looser gum, or alveolar mucosa. This tissue contains muscle, and is flexible to allow movement of the cheeks and lips.
Is the gingiva Keratinized?
The mucosa of the gingiva and hard palate is a specialized masticatory mucosa. It can be keratinized, orthokeratinized or parakeratinized and has deep interdigitating rete pegs extending into the underlying vascular, subcutaneous connective tissue that limit its mobility.
Is gingival col Keratinized?
The col is covered by a stratified non-keratinized epithelium (17, 30–32), whereas a stratified keratinized epithelium covers the interdental papillae (18).
What cells are in the gingiva?
It is composed of two layers, first epithelial cells with a basement membrane and second an underlying connective tissue, the lamina propria (4). The gingiva is combined of epithelial and connective tissues forming a collar of masticatory mucosa attached to the teeth and the alveolar bone.
Where is the gingiva?
The gingiva (gums) are found in the oral cavity of humans surrounding part of their teeth. They are comprised of mucosal tissue which covers the alveolar processes of the mandible and maxilla and finish at each tooth's neck.
Is tongue a soft tissue?
The tongue is not a soft tissue and rather it is a muscular organ in its own right and it is covered in little bumps and tissues. The tongue is incredibly complex and forms an important part of the digestion process, helping you move food around your mouth and push it down the throat.
What is a soft tissue implant?
Soft tissue implants are used for the following purposes: To reconstruct surgically or traumatically created tissue voids. To restore bulk to aging tissues in order to correct soft tissue folds or rhytides. To augment tissue for cosmetic enhancement.
What is gingivitis in teeth?
Marginal inflammation of the gingival tissues, called gingivitis, is preceded by the accumulation of plaque around the gingival margin of the tooth. If the plaque is allowed to be sustained, the associated inflammation of the gingival tissues is described to progress through the so-called initial, early, established and advanced lesions. Two types of established lesions are recognized: that which can remain stable for months to years and that which progresses to periodontitis in the susceptible host. The initial defence is mediated at the level of the marginal attachment of the gingival (epithelial and connective) tissues through polymorphonuclear leucocytes (PMNs) and macrophages, as well as inflammation of the underlying connective tissue (Fig. 12.2 ). In contrast, apical periodontitis is preceded by persistent pulpal inflammation, which follows bacterial colonization of dentine. The initial defence is mediated at the level of the pulp–dentine complex with the odontoblastic layer the key player, together with inflammation of the underlying pulp tissue (see Chapter 1 ).
What is gingivectomy in dentistry?
Gingivectomy is the excision of gingival tissue, usually to remove the diseased wall of a periodontal pocket (true pocket or pseudopocket).25 Gingivoplasty is the recontouring of the gingiva to its proper anatomical form without the reduction of periodontal pocket depth (see Ch. 18 ). 25 This is typically a combined procedure, which can be used in isolation or together with other surgical procedures such as flap surgery. 26 The main indication for gingivectomy or gingivoplasty in veterinary dentistry is in the management of gingival enlargements. Gingivectomy may also be used for type 1 surgical crown lengthening (see Ch. 21 ).
What is the objective of gingivitis?
The objective of therapy is to coach the patient in daily cleaning skills and to professionally remove localized factors initiating the inflammatory response. This latter step includes scaling to thoroughly remove biofilm and deposits on the tooth structure and laser decontamination of the sulcus.
Can a gingivectomy cause bleeding?
As the gingival tissues have a rich vascular supply, gingivectomy/gingivoplasty tends to result in considerable intraoperative bleeding. If a clotting profile and platelet count have not already been performed, then a buccal mucosal bleeding time (BMBT) test can quickly be done in the anesthetized patient prior to the first incision. This test is performed by employing a BMBT device (Simplate, Organon Teknika, Durham, NC) or by making a stab incision into the buccal mucosa with a # 11 scalpel blade and recording the time it takes for the wound to stop bleeding. Mucosal bleeding times of less than 3–5 minutes are considered normal. 2
What is the free gingival crest?
The free gingival crest demarcates the outermost part of the marginal gingiva. The attached gums are bound to the underlying alveolar bone and are a continuation of the marginal gum. Sometimes, the attached gum appears to have a slight bumpy texture, referred to as surface stippling.
What is the tissue that surrounds the upper and lower jaws?
Gingiva. The gums, or gingivae, are made up of the soft, mucosal tissue that lies over the upper and lower jaws inside the mouth. They surround the teeth of the upper and lower jaws and provide a protective seal for the teeth.
What is marginal gum?
Marginal gums are the gums that surround the teeth, in the scallop shape that characterizes the gumline. Marginal gums are more translucent than the other types of gingiva, though they otherwise have similar visual characteristics.
What are the three categories of gums?
The gums are categorized into three anatomical categories: marginal, attached, and interdental. ...
What color are gums?
One of the first indications of ill health of the gums is often a change in color. In lighter-skinned people, the gums are usually a light pink color , and they may be darker in people with more melanin pigmentation; therefore, the color of unhealthy gums is measured in relation to their individual ideal color.
Why are gums important?
The gums are securely bound to the bone that lies beneath them, helping them remain resilient against the friction of drinking and eating, un like the other soft tissues that line the mouth inside the lips and cheeks. When they are healthy, the gums help protect the tissues that are deeper in the mouth. One of the first indications of ill health of ...
Why do we need attached gums?
The amount of attached gum tissue varies depending on its location in the mouth, though a certain amount of attached gum is necessary to maintain the stability of the roots of the teeth. The interdental gums lie between the teeth.
What is free gingival grafting?
Free gingival grafting is the procedure of removing a small piece of soft tissue from the roof of your mouth. Using stitches, your dentist will suture this tissue to the gum area affected by the recession.
How long does a soft tissue graft procedure last?
The soft tissue grafting procedure is likely to last under two hours – depending on the intervention’s extent. If you and your dentist decide not to use general anesthesia, you may leave the dental practice shortly after the operation.
What is the best treatment for gum disease?
Soft tissue grafting is particularly recommended if the root of your tooth becomes exposed or you are at risk of it. However, this surgical intervention also reduces the effects of gum disease and prevents further deterioration of your gum’s soft tissue.
What is the procedure of grafting a pedicle?
Pedicle grafting refers to the practice of creating a small flap in the gum portion next to the one suffering from the recession. The flap is then opened to cover the exposed part. This surgical procedure is the most successful because it does not transplant tissue from one area to another.
What is the least invasive procedure for gum recession?
Pedicle grafting is the least invasive procedure that covers a less severe gum recession. This option is available only if the surgeon is able to create a flap in the gum near the area affected by gum recession. Therefore, you will need to have plenty of soft tissue in the area.
What is connective tissue grafting?
Connective tissue grafting is the procedure of opening a small flap on the roof of your mouth. The flap makes available a small portion of connective tissue, which the dentist implants in the area affected by gum recession. This operation is less invasive than free gingival graft, and it is one of the most common ones.
What is the best treatment for receding gums?
When looking for a solution to receding gums, your dentist might recommend you to undergo a gum tissue graft. Soft tissue graft or gum graft is a straightforward surgical operation that will correct receding grafts.
What is a free gingival graft?
In a free gingival graft procedure, the periodontist cuts a small strip of soft tissue from the roof of the patient’s mouth (palate). The soft tissue graft, is then sutured to the existing gum tissue in the area of gum recession. This type of gum graft procedure is often used for people who naturally have very thin gum tissue around their teeth ...
What is the most common type of gum graft surgery used for the treatment of exposed roots?
The flap on the palate is put back and stitched into place. Connective tissue grafts is the most common type of gum graft surgery used for the treatment of exposed roots.
What happens when you bite your teeth?
Bruxism (teeth clenching / teeth grinding) - Excessive biting forces can damage the connective tissue (periodontal ligament) that keeps the teeth attached to gums and bone causing the gums to recede and expose teeth roots.
How long after gum surgery can you remove stitches?
A follow-up appointment is scheduled 7-10 days after gum surgery for the periodontist to examine the progress of healing and remove any periodontal dressing, but the stitches are not usually removed until 2-3 weeks later.
What is gum graft surgery?
Soft tissue or gum graft surgery is a dental procedure usually performed by a periodontist, a dental specialist who has advanced training in diagnosing and treating conditions that affect the gums and supporting bone. Gum graft surgery may be recommended for one tooth or several teeth in order to:
What causes gums to recede?
Gum grafting may become necessary due to receded gums caused by: 1 Periodontal disease – in the advanced stages of gum disease, gum infection causes periodontal pockets to deepen making gums to loose their attachment from the teeth surface and start to pull back exposing the teeth roots 2 Aggressive brushing – vigorous brushing especially when using a hard toothbrush can cause gum recession and tooth enamel abrasion 3 Bruxism (teeth clenching / teeth grinding) - Excessive biting forces can damage the connective tissue (periodontal ligament) that keeps the teeth attached to gums and bone causing the gums to recede and expose teeth roots 4 Teeth malocclusion – crooked or misaligned teeth cause some of the teeth to sustain unevenly larger biting forces which leads to receding gums for similar reasons as in bruxism 5 Aging
How to prevent tooth decay?
Prevent future oral health problems such as gum recession, tooth decay and sensitivity by reinforcing areas where the gums are very thin or weak. Prevent further gum recession and bone loss.
What is gingivitis in teeth?
Marginal inflammation of the gingival tissues, called gingivitis, is preceded by the accumulation of plaque around the gingival margin of the tooth. If the plaque is allowed to be sustained, the associated inflammation of the gingival tissues is described to progress through the so-called initial, early, established and advanced lesions. Two types of established lesions are recognized: that which can remain stable for months to years and that which progresses to periodontitis in the susceptible host. The initial defence is mediated at the level of the marginal attachment of the gingival (epithelial and connective) tissues through polymorphonuclear leucocytes (PMNs) and macrophages, as well as inflammation of the underlying connective tissue (Fig. 12.2 ). In contrast, apical periodontitis is preceded by persistent pulpal inflammation, which follows bacterial colonization of dentine. The initial defence is mediated at the level of the pulp–dentine complex with the odontoblastic layer the key player, together with inflammation of the underlying pulp tissue (see Chapter 1 ).
What is the objective of gingivitis?
The objective of therapy is to coach the patient in daily cleaning skills and to professionally remove localized factors initiating the inflammatory response. This latter step includes scaling to thoroughly remove biofilm and deposits on the tooth structure and laser decontamination of the sulcus.
Where is subepithelial connective tissue harvested?
The subepithelial connective tissue is harvested from the palate using a trapdoor technique, being careful to avoid the greater palatine vessels, which are normally located mesial to the second permanent molar. It is important to make the initial incision at least 2 mm palatal to the gingival margin (Fig. 6.8 ).
Can periodontal ligaments grow?
Dentists try for regeneration in the tissues of the periodontal ligament, but it is not possible to grow cementum predictably, so the option is tissue regeneration. This technique may aid in regeneration of the ligament because it is being stimulated and given a place to grow.
Does tissue regenerate in the color desired?
One does not want to take the chance of using artificial material for an epithelial gingival graft because the color can come out pinker and brighter. It does not regenerate in the color desired—only connective tissue can do that.
Can perioesthetics regenerate enamel?
It is a bonus that should be taken advantage of in perioesthetics because it is not possible to regenerate enamel, dentin, or tooth. It is possible to regenerate the support and its color. If the gingiva is incised correctly, guided tissue regeneration can be used to get reattachment and color.
Is gingival tissue regeneration the same as repair?
Tissue Regeneration. The gingival tissue is one of the few places in the body where complete regeneration is possible. Repair does not mean the same thing as regeneration. It does not include return to the actual nature of the structure.
